Background
Adolescent dependency on smartphones is the highest among all age groups. Adolescents can be influenced to evaluate their body image by popular ideals about beautiful bodies via smartphone content, which can cause body image distortion. This study aimed to examine the association between body image distortion and smartphone dependency and the duration of smartphone usage among Korean adolescents.
Methods
This study used data from the 16th Korean Youth Risk Behavior Web-Based Survey (2020), and included 42,981 participants, who were grouped according to self-reported duration of smartphone usage and smartphone dependency, as measured by a questionnaire. Body image distortion is defined as an exaggerated subjective body image compared to the actual body image. Multivariable-adjusted logistic regression was used to determine the odds ratios (ORs) with 95% confidence intervals (CIs) of body image distortion on smartphone dependency and usage time after adjusting for various factors related to body image distortion.
Results
Among the 42,981 participants, both moderate and high levels of smartphone dependency were associated with body image distortion in boys (moderate: adjusted OR [aOR], 1.11; 95% CI, 1.01–1.22; high: aOR, 1.18; 95% CI, 1.05–1.32) and girls (moderate: aOR, 1.14; 95% CI, 1.05–1.23; high: aOR, 1.30; 95% CI, 1.18–1.42) compared to the low-level dependency group. However, no significant association was found between smartphone usage duration and body image distortion.
Conclusion
Our study demonstrated that moderate to high levels of smartphone dependency are associated with body image distortion in adolescents. Therefore, it is necessary to establish strategies for checking and managing adolescents’ smartphone dependence.

Citations

• Excessive smartphone use, smartphone dependency and body image distortion in Korean adolescents
  Young Gyu Cho
  Korean Journal of Family Medicine.2025; 46(2): 58.     CrossRef
• Association Between Social Networking Service Use and Body Image Among Elementary School Children in Japan
  Asami Baba, Masumi Suzuki, Rikako Yoshitake, Yumiko Inose, Naomi Omi
  European Journal of Investigation in Health, Psychology and Education.2025; 15(7): 125.     CrossRef
• Social Media Use and Body Image Dissatisfaction Among University Students of Health Sciences in Saudi Arabia
  Ihdaa J Abdulwahab, Jumana H Khouja, Noha A Alzahrani, Amina Bargawi
  Cureus.2024;[Epub]     CrossRef

Background
The need for client feedback in assessing healthcare services is widely recognized. However, little is known about the satisfaction of adolescent clients utilizing healthcare services in Malaysia. To the best of our knowledge, there is no validated instrument to measure the satisfaction of adolescent clients attending health clinics in Malaysia. This cross-sectional study aimed to determine the reliability of the Malay version of the Malaysian Ministry of Health’s Adolescent Client Satisfaction Questionnaire among adolescents attending health clinics in northeastern Malaysia.
Methods
A cross-sectional study was conducted in January 2019 among adolescents aged 10–19 years attending four designated health clinics in the northeastern state of Peninsular Malaysia. The test for Cronbach’s α was performed to determine the internal consistency reliability.
Results
There were a total of 85 adolescent clients involved in this study. The mean age of respondents was 15.6 years. The majority of respondents were female, Malay, students, and had attained a secondary level of education. The mean total satisfaction score was 78.35. The internal consistency reliability according to the Cronbach’s α of the domain was 0.854, which is considered highly reliable. The corrected item-total correlation for the domain was acceptable as it was ≥0.4.
Conclusion
The Malay version of the Malaysian Ministry of Health’s Adolescent Client Satisfaction Questionnaire has excellent internal consistency reliability. Therefore, it may be recommended as a tool to measure the satisfaction level among adolescents attending health clinics in Malaysia.

Citations

• “Aren’t They Supposed to Be Healthy?”: A Qualitative Exploration of Healthcare Providers on Adolescent Health Services in Malaysia
  Hafizuddin Awang, Azriani Ab Rahman, Surianti Sukeri, Noran Hashim, Nik Rubiah Nik Abdul Rashid
  Child & Youth Services.2022; 43(3): 237.     CrossRef

Citations

• The Effect of Practitioner Empathy on Patient Satisfaction
  Leila Keshtkar, Claire D. Madigan, Andy Ward, Sarah Ahmed, Vinay Tanna, Ismail Rahman, Jennifer Bostock, Keith Nockels, Wen Wang, Clare L. Gillies, Jeremy Howick
  Annals of Internal Medicine.2024; 177(2): 196.     CrossRef
• Can Patient–Provider Interpersonal Interventions Achieve the Quadruple Aim of Healthcare? A Systematic Review
  Marie C. Haverfield, Aaron Tierney, Rachel Schwartz, Michelle B. Bass, Cati Brown-Johnson, Dani L. Zionts, Nadia Safaeinili, Meredith Fischer, Jonathan G. Shaw, Sonoo Thadaney, Gabriella Piccininni, Karl A. Lorenz, Steven M. Asch, Abraham Verghese, Donna
  Journal of General Internal Medicine.2020; 35(7): 2107.     CrossRef
• A Person-Centered Approach to Cardiovascular Genetic Testing
  Julia Platt
  Cold Spring Harbor Perspectives in Medicine.2020; 10(7): a036624.     CrossRef
• Effect of BATHE interview technique on patient satisfaction in an ambulatory family medicine centre in South India
  Navnee Chengappa, Prince Christopher Rajkumar Honest, Kirubah David, Ruby Angeline Pricilla, Sajitha MF Rahman, Grace Rebecca
  Family Medicine and Community Health.2020; 8(4): e000327.     CrossRef
• A consultation-level intervention to improve care of frequently attending patients: a cluster randomised controlled feasibility trial
  Rebecca K Barnes, Helen Cramer, Clare Thomas, Emily Sanderson, Sandra Hollinghurst, Chris Metcalfe, Sue Jackson, Charlie Record, Helen Thorley, David Kessler
  BJGP Open.2019; 3(1): bjgpopen18X101623.     CrossRef
• Acceptability of the BATHE technique amongst GPs and frequently attending patients in primary care: a nested qualitative study
  Clare Thomas, Helen Cramer, Sue Jackson, David Kessler, Chris Metcalfe, Charlie Record, Rebecca K. Barnes
  BMC Family Practice.2019;[Epub]     CrossRef
• The effect of the BATHE interview technique on the empowerment of diabetic patients in primary care: A cluster randomised controlled study
  Selçuk Akturan, Çiğdem Apaydın Kaya, Pemra Cöbek Ünalan, Mehmet Akman
  Primary Care Diabetes.2017; 11(2): 154.     CrossRef

Citations

• The Importance of the South Korean Primary Care Group and the Korean Primary Care Assessment Tool: Is It Possible to Sample the Whole Country?
  Erno Harzheim, Luiz Felipe Pinto, Otávio Pereira D’Avila, Lisiane Hauser
  Korean Journal of Family Medicine.2021; 42(2): 183.     CrossRef
• Comparison of patient perceptions of primary care quality across healthcare facilities in Korea: A cross-sectional study
  Yongjung Cho, Heeyoung Chung, Hyundeok Joo, Hyung Jun Park, Hee-Kyung Joh, Ji Won Kim, Jong-Koo Lee, Wen-Jun Tu
  PLOS ONE.2020; 15(3): e0230034.     CrossRef
• Primary Care Comprehensiveness Can Reduce Emergency Department Visits and Hospitalization in People with Hypertension in South Korea
  Nak-Jin Sung, Yong-Jun Choi, Jae-Ho Lee
  International Journal of Environmental Research and Public Health.2018; 15(2): 272.     CrossRef
• Patients' Perceived Quality of Family Physicians' Primary Care with or without 'Family Medicine' in the Clinic Name
  Ka Young Kim, Kangjin Lim, Eal Whan Park, Eun Young Choi, Yoo Seock Cheong
  Korean Journal of Family Medicine.2016; 37(5): 303.     CrossRef
• Finding the Primary Care Providers in the Specialist-Dominant Primary Care Setting of Korea: A Cluster Analysis
  Jin Yong Lee, Sang Jun Eun, Hyun Joo Kim, Min-Woo Jo, David W. Dowdy
  PLOS ONE.2016; 11(8): e0161937.     CrossRef
• General practitioners versus other physicians in the quality of primary care: a cross-sectional study in Guangdong Province, China
  Yaming Zou, Xiao Zhang, Yuantao Hao, Leiyu Shi, Ruwei Hu
  BMC Family Practice.2015;[Epub]     CrossRef
• Primary care research in South Korea: its importance and enhancing strategies for enhancement
  Yu-Il Kim, Jee Young Hong, Kyoungwoo Kim, Eurah Goh, Nak-Jin Sung
  Journal of the Korean Medical Association.2013; 56(10): 899.     CrossRef
• Patient assessment of primary care under the Designated Practice Scheme for Medical Aid beneficiaries, using the Korean Primary Care Assessment Tool (K-PCAT): a district of Seoul, South Korea
  Jae-Ho Lee, Yong-Jun Choi, Ji-Sook Choi, Sera Kim
  Journal of the Korean Medical Association.2012; 55(2): 187.     CrossRef

Background
The value of endoscopy is more increasing as a tool of the cancer screening, and many studies are now progressed for decreasing the inconvenience of patients who undergo the endoscopy. There are some overseas studies that the video-education before procedures like colonoscopy or coronary angiography increases the satisfaction and decreases the anxiety of the patients. But in Korea, there is lack of studies about the methods of decreasing the anxiety of the patients before procedures especially endoscopy.Methods: We carried out the survey with 95 patients underwent the endoscopy in the medical health checkup center of National Health Insurance Medical Center during 19 July 2008 to 8 September 2008. The patients who had the medical history of gastrectomy, had pains due to another diseases and had a prescription about psychiatric medicine including hypnotics were excluded.Results: Statistically there are no differences between two groups of the video-education and the paper-education according to age, sex, height, weight, body mass index, numbers of former endoscopy, smoking history and educational standard. The video-education is more effective than the paper-education in decreasing the anxiety index between before and after the education.Conclusion: The prior video-education for the patients awaiting endoscopy can decrease the anxiety about procedure. Moreover, it can decrease the suffi cation of the patients and increase the satisfaction of physicians. If the patients feeling the prior anxiety are educated with the video before undergoing endoscopy, the video-education is very effective to decrease the prior anxiety of the patients.

Background
Lifestyle is an important risk factor for many diseases. We need to educate medical students for advocating health promoting behaviors to their patients. Teaching knowledge, however, was not enough for medical students to change their health-related lifestyle. In this study, we investigated health promoting behaviors of medical students, and the improvement of their health behaviors after competitive lifestyle modifi cation program.Methods: All sophomores of medical college in Seoul National University were included in this study. We performed lifestyle modifi cation program consisting of lecture, group competition, and feedback. We focused on reforming health behaviors like smoking, drinking, exercise, stress management and eating habits. And we also checked common symptoms of functional diseases, medication frequency for relieving these symptoms and general life satisfaction.Results: After 2 months of lifestyle modifi cation program, the obese (P = 0.0455) and the average value of BMI (P < 0.001) were decreased and two of smokers quitted smoking. Numbers of medical students with health related habits such as regular exerciser (P = 0.027), frequent user of symptom-relief medication (P < 0.001), breakfast skipper (P = 0.005) were signifi cantly changed in positive way, and the average value of general life satisfaction score (P = 0.003) was improved.Conclusion: Lifestyle modification program improved medical students' health habits and enhanced general life satis-faction.

Citations

• What Kind of Mentoring Do We Need? A Review of Mentoring Program Studies for Medical Students
  Yera Hur, Sun Kim, Keumho Lee
  Korean Journal of Medical Education.2013; 25(1): 5.     CrossRef
• Happiness of Medical Students and Tasks in Medical Education
  Eun Bi Lim
  Korean Medical Education Review.2011; 13(2): 25.     CrossRef

Background
After referral system had been established, patients wishing to consult with a specialist with 'self- referral' in mind is increasing in university hospital family medicine clinics. This study was conducted to know whether those by self-referral to a specialist in a university hospital could benefit from family physician's consultation or not. Methods: Three hundred and sixty patients were serially assigned to either 'simple referral' group provided with a referral note without consultation or 'referral after consultation' group with consultation from a family physician. Patient satisfaction was rated by using questionnaires with 5-point Likert scale. Results: Patients in the 'simple referral' group were more satisfied with the whole process of family physicians' consultation compared to the 'referral after practice' group in both the appropriateness and patient satisfaction of the consultation (both, P＜0.001). Males, longer encounter time, and shorter waiting time were significantly influenced patient satisfaction compared to each counterpart. Conclusion: Patients who want only a referral note from a family physician in a university hospital may received some benefit from the coordination and comprehensive care by a family physician. Health delivery system should be rectified according to the consideration of the role of the primary care physician such as a family physician. (J Korean Acad Fam Med 2008;29:325-329)

Background
: Most recently, there is an increased use of EGD (esophagogastroduodenoscopy) for primary care among family physicians, which tends to promote EGD training programs in the course of Family Practice Residency. This study determined to survey current status of EGD training programs among residents in family medicine, identify relevant problems, and present some suggestions for their improvement.

Methods : The subjects were residents selected among family medicine training hospitals, which were registered in the KAFM (Korean Academy of Family Medicine). The residents were in their 3rd year of training or had already completed the EGD training program. Surveys were sent out to those hospitals by mail and electronic mail surveys were performed by researchers.

Results : Among 66 subject hospitals a total of 27 surveys (40.9%) were returned. Most EGD training were performed in the department of internal medicine. The mean duration of training period was 8 weeks. The averale number of hands on experience of the procedure was 62. It was found that most residents thought that EGD training period and the number of hands on experience of the procedure were insufficient. The longer period of actual experience of the procedure and the more number of EGD caseloads they had, the more they were satisfied with their EGD training programs. It was also found that there was a high demand for a follow-up learning opportunities for EGD (p＜.05), because the residents who had already had many EGD caseloads further wanted to receive continuous education even, after they acquired license. There were no relationships observation period, period of actual experience of the procedure, and number of EGD caseloads during residency with demand for follow-up learning opportunities.

Conclusion : In summary, there was insufficient EGD training period and actual experience of the EGD procedure in family practice residency. There was low satisfaction of EGD training programs and high demand for continuous education. Therefore, it is recommended to establish EGD training program, proper practice training, and regular continuing education after completing residency.

Background
: For cancer patients, pain is the most common symptom and the most important factor that seriously affects their treatment and quality of life. The purpose of the research was to determine the controllable factors for pain management in order to increase patients' satisfaction for pain management.

Method: This study was based on the survey answers and medical records of 464 cancer patients, in 8 hospitals in Korea from March until September 2000.

Results : As shown by Chi-square test, according to the degree of satisfaction for cancer pain management, those patients who were "satisfied" with pain treatment showed better activity rate (P=0.007) than the "unsatisfied" group. Additionally, the frequency of using painkillers according to WHO step-ladder, Pain Management Index (PMI), or patients own knowledge and attitude toward cancer pain control was not found to be relevant to patients satisfaction (P=0.106, P=0.382, P＞0.05). But, in the "satisfaction" group, more patients were informed of the importance of pain management (P=0.004) and reported less pain (P＜0.05). A close relationship between higher satisfaction and lower pain interference rate was discovered, but no correlation was found for activity, mood, or gate. The average of interference rate was lower in the "satisfaction" group (P＜0.05).

Conclusion : For higher satisfaction rate for pain management among cancer patients, high activity rate, patient education of importance of pain management, less severity of pain, and low interference rate in life are found to be the determinants.

Background
: Which component of physician's interviewing process affects the patient-physician relationship and clinical outcomes can be studied by videotaping conversations in an exam room. The purpose of this study was to record resident physicians' conversations, describe the frequency and the content of the observed patient- centered utterances in interviews, and analyze the correlation between the presence of observed patient- centered utterances and the level of satisfaction.

Methods : Ten interactions for each of the 6 resident physicians were videotaped. The utterances of physicians were coded directly from video tapes and transcribed partially. Uttering to explore a patient's standpoint, uttering emotionally to mention directly about patient's feeling, and uttering to counsel a patient for coping skills were considered as indicators of patient-centered conversations.

Results : The average number of physician's utterances per interaction was 32 (range 9∼67). The mean time of an interaction was 8 minutes and 23 seconds (range: 1 min and 55 sec∼20 min and 20 sec). Among the total 1,792 physicians' utterances, there were 29 social talks, 1,228 utterances for diagnosis, 376 utterances for treatment, 147 directive utterances, and 12 family-centered utterances. Among the utterances for diagnosis or treatment, there were 88 patient-centered utterances including 59 utterances for exploring a patient's standpoint, 23 emotional utterances, and 6 utterances for counseling. Fifty two patients responded to a questionnaire to assess satisfaction after an interaction. Sixteen respondents (30.8%) were very satisfied, 26 respondents (50.0%) were satisfied, 6 respondents (11.5%) were little satisfied, one respondent (1.9%) was unsatisfied, and 3 respondents (5.8%) were reserved to respond. There was no significant correlation between the presence of observed patient- centered utterances and the level of satisfaction (P＞0.05).

Conclusion : Most of the resident physicians' utterances consisted of asking physician-centered questions and offering informations. The patient-centered utterances were observed 1∼2 times per interaction in average, and they were brief. This study reveals that the presence of patient-centered utterances in interviews was not correlated with the level of patients' satisfaction.

Background
: Recently, physicians have been challenged to see more patients per office session while maintaining patient satisfaction. We examined the variables related to patient satisfaction with the time spent with physician during office visit.
Methods
: In the department of family medicine of an university hospital, a trained researcher observed patient visits by VTR and collected additional data using medical record reviews and patient exit questionnaires from July 1 to July 31, 2002 The data was analyzed statistically by SPSS ver11.0/PC+.
Results
: Visits by 103 patients were observed in this study. Age, functional health status, time of Dr.'s talking to patients and the ratio of Dr.'s talking time to visit length were significantly associated with patient satisfaction (P＜0.05). Sex, marital status, education level, new vs. established patient, reason for visit, visit length, number of problems, number of medications, body mass index, and satisfaction for time spent were not significantly associated with patient satisfaction. According to logistic regression analysis, greater patient satisfaction were associated with better perceived health status, with more ratio of Dr.'s talking time to visit length and with age younger than 40 years.
Conclusion
: Physician can enhance patient satisfaction during an office visit by spending sufficient time to talk with patients during each visit and should take an interest in elderly patients and patients with multiple problems.

Background
: The most frequent disease seen in the anal area is hemorrhoid. The main therapeutic approach has been surgical treatment. However, in case of first degree and second degree hemorroids, the high frequency therapy is available. It can be applied on the OPD basis by the family pratitioners.

Methods : The data have been collected between Nov. 1997 and Apr. 1999, 464 cases are surveyed on the basis of sex, age, symptom duration, main symptom, location and duration of hemorrhoid, associated anal disease, therapeutic complication, and patients subjective satisfaction. Only 220 out of the 464 cases were available for the patients satisfaction study because of limited follow-up study.

Results : The sex ratio is 1.18:1 (252 in male, 212 in female). Age distribution shows a clustering pattern around the middle age(158 cases in the 30s, and 142 in the 40s respectively). Symptom duration before their first hospital visit reveals 118 cases(25.4%). under 5 years, 105 cases (22.6%) over 10 years, 102 cases (22.1%) 5 to 10 years orderly. The main symptom includes hemorrhoidal mass, bleeding, and pain. 146 cases (31.5%) had all the symptom descrived above. Patients with mass and bleeding were 122 patients(26.3%). In case of the degee of internal hemorrhoid, the second degree of hemorrhoid was the most common (386 cases: 83.2%) followed by the first degree(43 cases: 9.3%), the third degree (24 cases: 5.1%) and the forth degree(11 cases:2.4%). Total number of the patients with therapeutic complication were 99 cases. The complications were acute urinary retension (46cases: 46.5%), perianal edema (30 cases: 30.3%), bleeding (18cases: 18.2%) and anal stricture (5 cases: 5.0%). Satisfaction survey was based on the 220 follow-up case study. 125 cases revealed very satisfied. (56.8%), 66 slightly satisfied (30.0%) and 29 unsatisfied(13.2%).

Conclusion : As shown in the study above, the high frequency therapy provided the patients with the high level of satisfaction. Based on the this fact, it is suggested to the family practitioners.

Background
: Although sexuality in old women is important for the quality of life, that has been overlooked due to social indifference. Because the studies for sexuality in old women were lack in Korea, we surveyed sexuality and its influential factors in old women.

Methods : From March to July 2000, we surveyed 115 old women over 60 years with 22 items of questionnaire. Data were gathered through written responses to the questionnaire and one to one interview between doctor and subject. Statistical analysis was done with SPSS ver10.0/PC+ and its significance was tested by chi-square(P<0.05).

Results : Mean age of 115 women is 64.84±4.54 years. There are 80 cases (69.6%) that thought sexuality is important in old women. Sexuality and sexual interest get gradually decreased by aging. Marital state, age of husband, family structure, economic state, sexual interest are statistically significant as the influential factors of sexuality (P<0.05). Sexual satisfaction comes out 35.7%. Age, marital state, family structure, job, economic state, subjective health state, current medication, sexual interest are statistically significant as the influential factors of sexual satisfaction(P<0.05). The reasons of decreased sexuality is due to aging process(47.8%), no partner(17.4%), partner problem(14.8%), physical illness(10.4%) and decreased libido.

Conclusion : We conclude that sexuality in old women is important. Its influential factors are marital state, age of husband, family structure, economic state, sexual interest. Age, marital state, family structure, job, economic state, subjective health state, current medication, sexual interest are statistically significant as the influential factors of sexual satisfaction.

Background
: Use of Complementary and Alternative Medicine(CAM) is common among patients with chronic conditions such as rheumatic disorder. This study was conducted to know rate and behavior of using CAM and to improve doctor-patient relationship in rheumatic patients.

Methods : Among patients visiting a tertiary hospital rheumatology clinic, 867 persons (15.8% of total) were selected conveniently and interviewed by a trained nurse according to structured questionnaire from July 1st through July 31st 1999. Three hundred and sixty two CAM users completed the interview.

Results : Among 867 persons interviewed, 372 persons had used CAM (use rate 44%). Use rate of Chinese medicine was 26%, CAM except Chinese medicine 21%. Herb medicine(49.4%) was the commonest single category of all CAM. Twenty four percents of users had used two or more types of CAM, 6.8% had experienced adverse effects. The average yearly cost for CAM was 704,000 won/person, 64% of the one for hospital use, 1,100,000 won/person. The subjectively rated degree of effectiveness was 6.3 points which was significantly higher when compared with 5.9 points for hospital services. The degree of satisfaction with CAM was 5.6 points which was higher than that of hospital services, 4.8 points. The most frequently reported reason for using CAM was the hope for synergistic treatment effect(32%). The proportion of experiencing adverse effects from CAM was 7% of all users. Only one fourth of the users had discussed on the CAM use with the western doctors. The commonest reason for not discussing CAM was that the respondents had no need to discuss about it (40%). Among doctor's attitudes when discussing CAM with patient, limited aproval was most common(40%).

Conclusion : Among patients with rheumatic conditions, 44% use CAM. Herb medicine was most commonly used CAM. Comparing with hospital services, cost for CAM is 2/3 but its subjective effectiveness and satisfaction are higher. Western doctors must consider appropriately the need from users of alternative medicine.

Background
: Physicians’ satisfaction with their professional life influences the quality of patient care they provide and helps to determine the number and type of students attracted to the various fields of medicine. In South Korea, two decades have passed already since the introduction of family medicine. But, S. Korean health policy has not developed a strong plan a strong plan to control a high medical cost and ineffective utilization of medical resources. Additionally, the number of students applying for family medicine is less than that for internal medicine or pediatrics. The purpose of this study was to de-lineate factors relation to professional satisfaction among family physicians in South Korea.

Methods : The subjects were 840 family physicians who had been trained formally and registered to the Korean Academy of Family Physicians. The self-administered questionnaires were collected by three mailings during March 18 to May 24 in 1998.

Results : Completed questionnaires were received from 292 South Korean family physicians. With respect to income, there showed ‘satisfaction in 31.4%, ‘middle’ 47%, and ‘dissatisfaction’ 20.5%(no response 1.0%). Three periods of certification acquisition(P=0.001), four practice types(P=0.005), and three degrees of training satisfactioni(P=0.003) had significantly different degrees of satisfaction. In the aspect of pride as a family physician, there showed ‘high’ in 42.1%, ‘middle’ 45.8%, and ‘low’ 10.9%(no response 1.2%). In the aspect of future view as a family physician, there showed ‘bright‘ in 40.6%, ‘middle’ 40.6%, and ‘dark’ 17.6%(no response 1.2%).
After confounding variables were controlled, practice types(faculty family physicians rather than private practitioners) (P=0.003), the degree of training satisfaction(P=0.001, positive relationship), and the number of patients encountered per an hour(P-0.0098, positive relationship) were significant variables of the degree of general professional satisfaction.

Conclusion : Though standard measure of professional satisfaction have not been developed, this survey result seems to help understand factors relating to professional satisfaction of S. Korean family physicians. This information may be useful in the development of policy to structure a primary care oriented health care system in S. Korea.( J Korean Acad Fam Med 1999;20:1697-1708)

Background
: In a health examination program, advice from physician for change of health-related behavior and distribution of health educational pamphlets is routine. This study was done prospectively to analyze factors such as personal general characteristics, results of health examination, health examination satisfaction that related to change of health promotion attitudes and compliance towards overweight, smoking, heavy drinking, elevated blood pressure, dyslipidemia, chronic diseases such as diabetes, hypertension.

Methods : The subject population was 689 cases from May 1997 to Jue 1997i a general hospital health examination center. After health examination, 60.2%(415 cases) showed personal satisfaction by questionnaire. Three to four months later 78.4%(540 cases) responded to eh telephone survey on change of health beliefs, health-related attitudes and compliance.

Results : In the telephone survey, 239 cases(46.0%) comprised high compliance group that had positive attitudes toward abnormal health examination results, 145 cases(27.9%) were mid compliance group. In males there was higher frequency of high compliance group than females(p<0.05). According to age, the older, the higher frequencies of high compliance group(p<0.05). In educational level group, the higher the educational level, the lower the frequencies of high compliance group(p<0.01). There was no difference in frequency of each compliance group between symptom motive and non-symptom motive group with each satisfaction group(p>0.05). In positive responders to the correspond advice of physician or health educational pamphlets, the frequencies for quit smoking, reduction of drinking amount, regular exercise, Compliance with taking antihypertensive, blood sugar control, diet control for dyslipidemia, taking antihyperlipidemics were higher(p<0.01).

Conclusion : Health examination service including advice of physician and education changed health belief and influenced positively to health promotion attitudes. Health examination is not only important for early detection of disease but also to promote positive change of health-related behavior. Further studies are needed to understand the changing process of management of health and disease.( J Korean Acad Fam Med 1999;20:1012-1026)

Background
: Obesity is not only one of the risk factors that affects the prevalence and aggravation of chronic diseases, but is also the cause of social unfitness because slimness has become a standard of beauty. We surveyed on the satisfaction about self body image, the factors which are related to it and weight control behavior of the adolescents in a local area of Korea. Methods : The survey was performed in a high school of Pocheon on August, 1996. Five classes out of 14 classes in 1st and 2nd grade were selected. The body mass index(BMI) was calculated from the measured height and weight. The satisfaction about body image which was estimated by the difference between present body image and wanted body image in 9 graded figures of body image was obtained from the questionnaire. The information about sex, religion, history of being teased about body image, body image of their parents, mean duration of watching TV in a day, body esteem, and binge-eating was obtained from the questionnaire and we evaluated the relationship between all of the above with BMI and body image satisfaction. We also investigated on the interest in education about weight control and efforts made by adolescents from the questionnaire on weight control behavior. Results : Total of224 students participated in this study and only 14.7% of them were satisfied with their body image. 58.9% wanted weight reduction and 26.4% wanted weight gain. They were more dis-satisfied with their body image when they were girls(p<0.01), had the experience of being teased about their body image(p<0.01), had low body esteem(p<0.01), and had high BMI(p<0.01). We could not find statistically significant relationship between body image satisfaction and other factors such as religion, the duration of watching TV in a day, the body image of their parents and binge eating. 64.3% of the subjects tried to control their weight and most(87.5%) tried to lose wight. The selected methods were diet control(65.3%) and exercise(52.1%) and the most preferred method of diet control was skipping meals(45.7%). Conclusion : Most of adolescents were not satisfied with their body image and this dissatisfaction was related to gender, history of being teased about their body image, BMI, and body esteem. Many of them had tried to lose weight and among the methods of weight reduction, there behaviors that were injurious to their health and growth.

BACKGROUND
The author surveyed and analyzed the changes of perception and satisfaction about family medicine. So that the outcome may bring us a reference to advance family medicine more.
METHODS
247 in and out patients in one general hospital in Seoul were surveyed by the questionnaire from July 26, 2000 to June 20. The date was analyzed statistically by SAS program.
RESULTS
As for the knowledge of family medicine, 61.5% of the patients answered that they knew what it is, and the most of them, 54%, via medical institution. The office workers, married , and highly educated people tend to know more about family medicine (P<0.05). As for attitude, 68% of the group answered that family medicine is necessary, because "family medicine doctors give proper advice and consult through out all fields of medicine"(58.8%). As for the preference so prirate doctor, 56.7% of the group answered that they would register for family medicine clinic, and students and office workers are fond of family medicine(P<0.05). As for the satisfaction, 34.4% were ever been to family medicine clinic, and 35.5% out of them were dissatisfied, mainly due to the lack of knowledge of physicians about their diseases(70.1%).
CONCLUSION
The perception of family medicine are still scanty compared to the old studies.